Attachment D - Reference Laboratory Testing Experience Worksheet.docx
DOCX document 22 KB Posted
- Attached to
- Q301--VISN22 | REFERENCE LAB TESTING
- Solicitation number
- 36C26226R0001
About this file
The document is an Attachment D - Reference Laboratory Testing Experience Worksheet for a Department of Veterans Affairs (VA) solicitation for VISN22 Reference Lab Testing (Solicitation Number 36C26226R0001). The worksheet is designed for offerors to provide detailed information about their experience in reference laboratory testing from hospital settings, which will be used to evaluate proposals in STEP 2 of the evaluation process.
The worksheet requires offerors to comprehensively document specific reference contracts, including the legal entity name, contract dates, performed tasks, courier service areas, types of laboratory testing (such as genetic or drug testing), average monthly test volume, contractor status (prime or subcontractor), and contact information for contract verification. Offerors must complete a separate worksheet for each reference contract they wish to have considered, with the goal of demonstrating their expertise in providing reference laboratory testing services within a hospital environment for the VA's Veterans Integrated Service Network 22.
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ATTACHMENT E – Reference Laboratory Services Experience Worksheet The information collected by this Worksheet will be used to evaluate proposals for the Experience proposal evaluation factor in STEP 2 of proposal evaluations. Offerors must use this Worksheet to describe their specific experience providing reference laboratory testing from a hospital setting, for each reference contract the Offeror submits as evidence of its experience providing these services. Offerors are encouraged to identify the reference contract(s) for consideration for STEP 2 of proposal evaluations that the Offeror believes best demonstrate the Offeror’s level of experience providing reference laboratory testing from a hospital setting. Offerors must complete a separate Worksheet for each reference contract the Offeror wishes to have considered for Step 2 of proposal evaluations. No other format may be used.
Reference Contract Worksheet # ______
| The legal name of entity with whom the Offeror held this reference contract: |
| [Example: Molina Healthcare, VA Long Beach Healthcare System] |
Contract number (or other identifier):
The dates during which the Offeror performed this reference contract:
Narrative providing details of the specific tasks the Offeror performed under this reference contract:
Offeror provided courier services for specimens for this reference contract:
[Example: Los Angeles and Orange counties; Des Moines, IA]
Types of reference laboratory testing that were provided under this reference contract:
[Example: Genetic, Drug, etc.]
The average monthly number of tests the Offeror provided under this reference contract:
Legal name of the entity who provided the reference laboratory testing under this reference contract:
[If the reference contract is work for performed by a proposed subcontractor for this procurement, identify the proposed subcontractor] [Name either the Offeror or a proposed subcontractor of the Offeror and address]
Whether the Offeror or its proposed subcontractor was the prime contractor or a subcontractor for this reference contract:
The name, phone number, and email address of a person at the entity with whom the Offeror (or Offeror’s proposed subcontractor) held this reference contract who can verify the information provided in this Worksheet:
File details come from the government source that posted it. Updated .